Application of a 3D Bioprinted Hepatocellular Carcinoma Cell Model in Antitumor Drug Research

Lejia Sun, Huayu Yang, Yanan Wang, Xinyu Zhang, Bao Jin, Feihu Xie, Yukai Jin, Yuan Pang, Haitao Zhao, Xin Lu, Xinting Sang, Hongbing Zhang, Feng Lin, Wei Sun, Pengyu Huang, Yilei Mao, Lejia Sun, Huayu Yang, Yanan Wang, Xinyu Zhang, Bao Jin, Feihu Xie, Yukai Jin, Yuan Pang, Haitao Zhao, Xin Lu, Xinting Sang, Hongbing Zhang, Feng Lin, Wei Sun, Pengyu Huang, Yilei Mao

Abstract

The existing in vitro models for antitumor drug screening have great limitations. Many compounds that inhibit 2D cultured cells do not exhibit the same pharmacological effects in vivo, thereby wasting human and material resources as well as time during drug development. Therefore, developing new models is critical. The 3D bioprinting technology has greater advantages in constructing human tissue compared with sandwich culture and organoid construction. Here, we used 3D bioprinting technology to construct a 3D model with HepG2 cells (3DP-HepG2). The biological activities of the model were evaluated by immunofluorescence, real-time quantitative PCR, and transcriptome sequencing. Compared with the traditional 2D cultured tumor cells (2D-HepG2), 3DP-HepG2 showed significantly improved expression of tumor-related genes, including ALB, AFP, CD133, IL-8, EpCAM, CD24, and β-TGF genes. Transcriptome sequencing analysis revealed large differences in gene expression between 3DP-HepG2 and 2D-HepG2, especially genes related to hepatocyte function and tumor. We also compared the effects of antitumor drugs in 3DP-HepG2 and 2D-HepG2, and found that the large differences in drug resistance genes between the models may cause differences in the drugs' pharmacodynamics.

Keywords: 3D bio-printing; HCC model; anti-tumor drug development; drug screening; liver.

Copyright © 2020 Sun, Yang, Wang, Zhang, Jin, Xie, Jin, Pang, Zhao, Lu, Sang, Zhang, Lin, Sun, Huang and Mao.

Figures

Figure 1
Figure 1
Construction of the 3D bioprinted liver cancer cell model. (A) Schematic illustration of the 3D cell-printing process (left) and the image of the 3DP-HepG2 model directly after printing (right). Scale bar: 50 mm. (B) Top view of the 3DP-HepG2 model on days 0, 3, 5, 7, and 10 after printing. Scale bar: 1 mm. Bottom row shows magnified view of insets (square). (C) Cell diameter distribution in the 3DP-HepG2 model at 10 days after printing.
Figure 2
Figure 2
Cell survival and proliferation in the 3D bioprinted liver cancer cell model. (A) Cell viability at different times after printing. Representative live-dead staining images of 3DP-HepG2 structures at days 1, 3, 5, 7, and 10 after printing. Live and dead cells were labeled with calcein-AM (green) and PI (red), respectively. Scale bar: 300 μm. Histogram of cell viability at different times after printing (B) Proliferation rates of 3DP-HepG2 and 2D-HepG2 cells at different time points.
Figure 3
Figure 3
Liver-related protein expression in the 3D bioprinted liver cancer cell model. ALB, AFP, Ki67, and CYP3A4 protein expression in the 3DP-HepG2 model at 7 days after printing. Scale bar: 200 μm.
Figure 4
Figure 4
Tumor-related protein and mRNA expression in the 3D bioprinted liver cancer cell model. The mRNA expression of tumor-related genes, including (A) AFP, (B) TGF-β, (C) CD133, (D) EpCAM, (E) IL-8, and (F) CD24 in the 2D-HepG2 and 3DP-HepG2 models at 5, 10, and 15 days after 3D printing.
Figure 5
Figure 5
Transcriptional profiling characterization of 3D printed liver cancer cell model. (A) Heatmap of DEGs between the 3DP-HepG2 and 2D-HepG2 models. Rows represent genes, and columns represent samples. (B) Volcano plot showing 617 DEGs, including 235 significantly upregulated DEGs (red spots) and 382 significantly downregulated DEGs (green spots). KEGG pathway enrichment bubble chart of (C) significantly upregulated genes and (D) downregulated genes. The x–axis represents fold of enrichment and the y–axis represents KEGG–enriched terms. The size of the dot represents the number of genes under a specific term. The color of the dots represents adjustment. (E) The expression of liver cancer-specific genes in the 3DP-HepG2 and 2D-HepG2 models. The heatmap shows the expression of hepatocyte-related genes and tumor-related genes in the models. DEGs, differentially expressed genes; GO, Gene Ontology; KEGG, Kyoto Encyclopedia of Genes and Genomes.
Figure 6
Figure 6
Characteristics of drug metabolism in the 3D bioprinted liver cancer cell model. Dose-effect curves of cisplatin (A), sorafenib (B), and regorafenib (C) in the 3DP-HepG2 and 2D-HepG2 models after 72 h of treatment. The mRNA expression of drug resistance genes in the 2D-HepG2 and 3DP-HepG2 models at 5, 10, and 15 days after 3D printing. (D) MRP1, (E) BCRP, (F) ACBC1, (G) MDR-1, (H) MRP2, and (I) EGFR mRNAs.

References

    1. Souza AG, Silva IBB, Campos-Fernandez E, Barcelos LS, Souza JB, Marangoni K, et al. . Comparative assay of 2D and 3D cell culture models: proliferation, gene expression and anticancer drug response. Curr Pharm Des. (2018) 24:1689–94. 10.2174/1381612824666180404152304
    1. Shamir ER, Ewald AJ. Three-dimensional organotypic culture: experimental models of mammalian biology and disease. Nat Rev Mol Cell Biol. (2014) 15:647–64. 10.1038/nrm3873
    1. Ravi M, Paramesh V, Kaviya SR, Anuradha E, Solomon FD. 3D cell culture systems: advantages and applications. J Cell Physiol. (2015) 230:16–26. 10.1002/jcp.24683
    1. Sun W, Starly B, Daly AC, Burdick JA, Groll J, Skeldon G, et al. . The bioprinting roadmap. Biofabrication. (2020) 12:022002. 10.1088/1758-5090/ab5158
    1. Zhao Y, Yao R, Ouyang L, Ding H, Zhang T, Zhang K, et al. . Three-dimensional printing of Hela cells for cervical tumor model in vitro. Biofabrication. (2014) 6:035001. 10.1088/1758-5082/6/3/035001
    1. Ma X, Liu J, Zhu W, Tang M, Lawrence N, Yu C, et al. . 3D bioprinting of functional tissue models for personalized drug screening and in vitro disease modeling. Adv Drug Deliv Rev. (2018) 132:235–51. 10.1016/j.addr.2018.06.011
    1. Yang H, Sun L, Pang Y, Hu D, Xu H, Mao S, et al. . Three-dimensional bioprinted hepatorganoids prolongs the survival of mice with liver failure. Gut. (2020). 10.1136/gutjnl-2019-319960. [Epub ahead of print].
    1. Vanderburgh J, Sterling JA, Guelcher SA. 3D printing of tissue engineered constructs for in vitro modeling of disease progression and drug screening. Ann Biomed Eng. (2017) 45:164–79. 10.1007/s10439-016-1640-4
    1. Li X, Wang Y, Zhao Y, Liu J, Xiao S, Mao K. Multilevel 3D printing implant for reconstructing cervical spine with metastatic papillary Thyroid Carcinoma. Spine (Phila Pa 1976). (2017) 42:E1326–30. 10.1097/BRS.0000000000002229
    1. Ramaiahgari SC, den Braver MW, Herpers B, Terpstra V, Commandeur JN, van de Water B, et al. . A 3D in vitro model of differentiated HepG2 cell spheroids with improved liver-like properties for repeated dose high-throughput toxicity studies. Arch Toxicol. (2014) 88:1083–95. 10.1007/s00204-014-1215-9
    1. Li Y, Lei Y, Yao N, Wang C, Hu N, Ye W, et al. Autophagy and multidrug resistance in cancer. Chin J Cancer. (2017) 36:52 10.1186/s40880-017-0219-2
    1. Lei S, Fei R, Lei L. Autophagy elicits a novel and prospect strategy to starve arginine-dependent tumors. Hepatobiliary Surg Nutr. (2019) 8:401–3. 10.21037/hbsn.2019.03.18
    1. Skardal A., Mack D, Atala A, Soker S. Substrate elasticity controls cell proliferation, surface marker expression and motile phenotype in amniotic fluid-derived stem cells. J Mech Behav Biomed Mater. (2013) 17:307–16. 10.1016/j.jmbbm.2012.10.001
    1. Carvalho MR, Lima D, Reis RL, Correlo VM, Oliveira JM. Evaluating biomaterial-and microfluidic-based 3D tumor models. Trends Biotechnol. (2015) 33:667–78. 10.1016/j.tibtech.2015.09.009
    1. Brancato V, Oliveira JM, Correlo VM, Reis RL, Kundu SC. Could 3D models of cancer enhance drug screening? Biomaterials. (2020) 232:119744. 10.1016/j.biomaterials.2019.119744
    1. Pauli C, Hopkins BD, Prandi D, Shaw R, Fedrizzi T, Sboner A, et al. . Personalized in vitro and in vivo cancer models to guide precision medicine. Cancer Discov. (2017) 7:462–77. 10.1158/-16-1154
    1. Unger C, Kramer N, Walzl A, Scherzer M, Hengstschlager M, Dolznig H. Modeling human carcinomas: physiologically relevant 3D models to improve anti-cancer drug development. Adv Drug Deliv Rev. (2014) 79–80:50–67. 10.1016/j.addr.2014.10.015
    1. Caruso S, Calatayud AL, Pilet J, La Bella T, Rekik S, Imbeaud S, et al. . Analysis of liver cancer cell lines identifies agents with likely efficacy against hepatocellular carcinoma and markers of response. Gastroenterology. (2019) 157:760–76. 10.1053/j.gastro.2019.05.001
    1. Gao Q, Zhu H, Dong L, Shi W, Chen R, Song Z, et al. Integrated proteogenomic characterization of HBV-related hepatocellular carcinoma. Cell. (2019) 179:561–77 e522. 10.1016/j.cell.2019.08.052
    1. Levato R, Jungst T, Scheuring RG, Blunk T, Groll J, Malda J. From shape to function: the next step in bioprinting. Adv Mater. (2020) 32:e1906423. 10.1002/adma.201906423
    1. Kingsley DM, Roberge CL, Rudkouskaya A, Faulkner DE, Barroso M, Intes X, et al. . Laser-based 3D bioprinting for spatial and size control of tumor spheroids and embryoid bodies. Acta Biomater. (2019) 95:357–70. 10.1016/j.actbio.2019.02.014
    1. Hou Y, Zou Q, Ge R, Shen F, Wang Y. The critical role of CD133(+)CD44(+/high) tumor cells in hematogenous metastasis of liver cancers. Cell Res. (2012) 22:259–72. 10.1038/cr.2011.139
    1. Li Y, Farmer RW, Yang Y, Martin RC. Epithelial cell adhesion molecule in human hepatocellular carcinoma cell lines: a target of chemoresistence. BMC Cancer. (2016) 16:228. 10.1186/s12885-016-2252-y
    1. Mima K, Baba H. The gut microbiome, antitumor immunity, and liver cancer. Hepatobiliary Surg Nutr. (2019) 8:67–8. 10.21037/hbsn.2018.11.09
    1. Kakugawa S, Langton PF, Zebisch M, Howell S, Chang TH, Liu Y, et al. . Notum deacylates Wnt proteins to suppress signalling activity. Nature. (2015) 519:187–92. 10.1038/nature14259
    1. Neth P, Ries C, Karow M, Egea V, Ilmer M, Jochum M. The Wnt signal transduction pathway in stem cells and cancer cells: influence on cellular invasion. Stem Cell Rev. (2007) 3:18–29. 10.1007/s12015-007-0001-y
    1. Urien S, Lokiec F. Population pharmacokinetics of total and unbound plasma cisplatin in adult patients. Br J Clin Pharmacol. (2004) 57:756–63. 10.1111/j.1365-2125.2004.02082.x
    1. Merienne C, Rousset M, Ducint D, Castaing N, Titier K, Molimard M, et al. . High throughput routine determination of 17 tyrosine kinase inhibitors by LC-MS/MS. J Pharm Biomed Anal. (2018) 150:112–20. 10.1016/j.jpba.2017.11.060
    1. Fucile C, Marenco S, Bazzica M, Zuccoli ML, Lantieri F, Robbiano L, et al. . Measurement of sorafenib plasma concentration by high-performance liquid chromatography in patients with advanced hepatocellular carcinoma: is it useful the application in clinical practice? A pilot study. Med Oncol. (2015) 32:335. 10.1007/s12032-014-0335-7
    1. Fergusson JR, Ussher JE, Kurioka A, Klenerman P, Walker LJ. High MDR-1 expression by MAIT cells confers resistance to cytotoxic but not immunosuppressive MDR-1 substrates. Clin Exp Immunol. (2018) 194:180–91. 10.1111/cei.13165
    1. Smith AG, Macleod KF. Autophagy, cancer stem cells and drug resistance. J Pathol. (2019) 247:708–18. 10.1002/path.5222

Source: PubMed

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